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Symptoms of problematic feeding in children with CHD compared to healthy peers

Published online by Cambridge University Press:  20 November 2018

Britt F. Pados Open the ORCID record for Britt F. Pados [Opens in a new window]
Britt F. Pados*
Affiliation:
Boston College William F. Connell School of Nursing, Chestnut Hill, MA, USA
*
Author for correspondence: Britt F. Pados, Boston College William F. Connell School of Nursing, Chestnut Hill, MA, USA. Tel: +1 617 552 4088; E-mail: britt.pados@bc.edu
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Abstract

Children with CHD often experience difficulty with oral feeding, which contributes to growth faltering in this population. Few studies have explored symptoms of problematic feeding in children with CHD using valid and reliable measures of oral feeding. The purpose of this study was to describe symptoms of problematic feeding in children with CHD compared to healthy children without medical conditions, taking into account variables that may contribute to symptoms of problematic feeding. Oral feeding was measured by the Pediatric Eating Assessment Tool, a parent report assessment of feeding with evidence of validity and reliability. This secondary analysis used data collected from web-based surveys completed by parents of 1093 children between 6 months and 7 years of age who were eating solid foods by mouth. General linear models were used to evaluate the differences between 94 children with CHD and 999 children without medical conditions based on the Pediatric Eating Assessment Tool total score and four subscale scores. Covariates tested in the models included breathing tube duration, type of CHD, gastroesophageal reflux, genetic disorder, difficulty with breast- or bottle-feeding during infancy, cardiac surgery, and current child age. Children with CHD had significantly more symptoms of problematic feeding than healthy children on the Pediatric Eating Assessment Tool total score, more physiologic symptoms, problematic mealtime behaviours, selective/restrictive eating, and oral processing dysfunction (p <0.001 for all), when taking into account relevant covariates. Additional research is needed in children with CHD to improve risk assessment and develop interventions to optimise feeding and growth.

Keywords

CHDeatingfeedingchildrenmealtime
Type
Original Article
Information
Cardiology in the Young , Volume 29 , Issue 2 , February 2019 , pp. 152 - 161
Copyright
© Cambridge University Press 2018 

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Footnotes

Cite this article: Pados BF. (2018) Symptoms of problematic feeding in children with CHD compared to healthy peers. Cardiology in the Young page 152 of 161. doi: 10.1017/S1047951118001981

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